Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aspen Rehab PLLC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1265104152

Aspen Rehab PLLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Flagstaff, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1851 N Gemini Dr Ste A
Flagstaff, AZ 86001-1607
Phone: (480) 821-9339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1265104152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamal Balouch — Member · (406) 868-5532
NPI enumeratedSeptember 29, 2021
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021
Mailing addressPo Box 2510, Mesa, AZ 85214-2510

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